THE PROVIDENCE COMMUNITY HEALTH CENTER
Circle PCHC Site:
|Prairie Ave |
Specific Information to be Released:
( Health Record (Date(s) of Service) from: to:
( Entire Record, or specifically:
( Problem List ( Immunization Record ( Last History and Physical ( Prenatal/OB Record ( Abstract ( Medication List
( Laboratory Results ( Diagnostic Imaging Reports ( Consultation Reports ( Dental Treatment Record
( Dental X-rays (Other
For Communication Purposes Only: Authorization to Discuss Health Information:
( By initialing here: I authorize the Providence Community Health Centers, Inc. to discuss my health information with my legal guardian/representative, attorney or governmental agency, or other agency listed here:
__________________________________________________________________________________________________________
Facility/Organization/Company Name of Individual
__________________________________________________________________________________________________________
Street City State Zip Phone
I understand that I have a right to revoke this authorization at any time. I understand that if I revoke this authorization I must do so in writing and present my written revocation to the Health Information Management Department. I understand that the revocation will not apply to information that has already been released in response to this authorization. I understand that the revocation will not apply to my insurance company when the law provides my insurer with the right to contest a claim under my policy. Unless otherwise revoked, this authorization will expire in 90 days or on:
(DATE) . I understand that authorizing the disclosure of this health information is voluntary. I can refuse to sign this authorization. I need not sign this form in order to assure treatment. I may receive a copy of this form.
Information that you authorize to be disclosed may be subject to re-disclosure and no longer protected by law to the extent applicable. I understand that my record may contain information that is considered sensitive under the law. PHI cannot be used or disclosed unless you specifically authorize such use or disclosure under 42-CFR Part 2 of the federal confidentiality regulations. This information shall not be transmitted without specific authorization as provided in these regulations.
My initials below indicate that I permit the following information, if applicable in my health record, to be released:
HIV/AIDS-Related Information (ARC), including status, results, treatments, diagnoses and/or referrals
Drug and Alcohol Abuse Information, including status, results, treatments, diagnoses and/or referrals
Behavioral Health Information, including status, results, treatments, diagnoses and/or referrals
Communicable Diseases, including status, results, treatments, diagnoses and/or referrals
By signing this statement, I am authorizing release of this information to the requesting party above.
Signature of Patient or Legal Representative Date Signature of Witness Date
|OFFICE USE ONLY: MR #: ID Verified: ( Yes ( No Date Released: ______ |
|Legal Representative documentation provided: ( Yes ( No Fee Collected: ( Yes ( No HIM Staff: ____________________ |
Rev. 10/15
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